Optometric Physicians of Red Bank LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00519701 Issued in NJ

Legal business name

OPTOMETRIC PHYSICIANS OF RED BANK LLC

Doing business as

EyesFirst Vision Center

Practice address

35 Monmouth St
Red Bank, NJ 07701-1613

Phone

(732) 530-5151

Fax

(732) 842-6629

NPI assigned

Aug 16, 2006

Last updated

Jul 2, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Todd H Gershenow, O.D.

Title

Owner

Phone

(732) 671-7300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EyesFirst Vision Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Jo Butler, OD

  • Optometrist
  • Glens Falls, NY
  • NPI 1881676062
  NPD (past)
• David M Wenz, O.D.

  • Optometrist
  • Wilmington, NC
  • NPI 1467531590
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1457464190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MONMOUTH ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011613",
            "telephone_number": "732-530-5151",
            "fax_number": "732-842-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MONMOUTH ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011613",
            "telephone_number": "732-530-5151",
            "fax_number": "732-842-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC PHYSICIANS OF RED BANK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "GERSHENOW",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-671-7300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00519701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3263509",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyesFirst Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olive and Oak Counseling
• Tori Olsen, L.AC
• One-on-One Medical LLC
• Optometric Physcians of Red Bank (Eyesfirst Vision Center)
• Optometric Physicians of Middletown PA (Clarkson Eyecare)
• Orange Physicians Post Care LLC
• Albert Oratio, PH.D.
• Mia Ortega, D.C.
• Orthonj LLC
• Orthopaedic Institute of Central Jersey

• Optometrist in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.